MEDICARE: DR. ALAN BERMAN D. C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		TX

General Provider Information

NPI Number	:	1720262090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN BERMAN D. C

Provider Business Mailing Address
First Line	:	2700 W ANDERSON LN STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-1153
Country	:	US
Telephone Number	:	512-467-0370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 W ANDERSON LN STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-1153
Country	:	US
Telephone Number	:	512-467-0370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	12/21/2007

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